Implementing a context-driven awareness programme addressing household air pollution and tobacco: a FRESH AIR study

  • Evelyn A. Brakema
  • , Frederik A. van Gemert
  • , Sian Williams
  • , Talant Sooronbaev
  • , Berik Emilov
  • , Maamed Mademilov
  • , Aizhamal Tabyshova
  • , Pham Le An
  • , Nguyen Nhat Quynh
  • , Le Huynh Thi Cam Hong
  • , Tran Ngoc Dang
  • , Rianne M.J.J. van der Kleij
  • , Niels H. Chavannes
  • , Corina de Jong
  • , The FRESH AIR collaborators

    Research output: Contribution to journalArticlepeer-review

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    Abstract

    Most patients with chronic respiratory disease live in low-resource settings, where evidence is scarcest. In Kyrgyzstan and Vietnam, we studied the implementation of a Ugandan programme empowering communities to take action against biomass and tobacco smoke. Together with local stakeholders, we co-created a train-the-trainer implementation design and integrated the programme into existing local health infrastructures. Feasibility and acceptability, evaluated by the modified Conceptual Framework for Implementation Fidelity, were high: we reached ~15,000 Kyrgyz and ~10,000 Vietnamese citizens within budget (~€11,000/country). The right engaged stakeholders, high compatibility with local contexts and flexibility facilitated programme success. Scores on lung health awareness questionnaires increased significantly to an excellent level among all target groups. Behaviour change was moderately successful in Vietnam and highly successful in Kyrgyzstan. We conclude that contextualising the awareness programme to diverse low-resource settings can be feasible, acceptable and effective, and increase its sustainability. This paper provides guidance to translate lung health interventions to new contexts globally.

    Original languageEnglish
    Article number42
    Pages (from-to)1-8
    Number of pages8
    Journalnpj Primary Care Respiratory Medicine
    Volume30
    Issue number1
    DOIs
    Publication statusPublished - 6 Oct 2020

    Bibliographical note

    Note - Sally Singh, Faculty of Health & Life Sciences, is a member of the collaborative group 'The FRESH AIR collaborators' - Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing,adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.

    Funder

    This study was funded by the EU Research and Innovation programme Horizon 2020 (Health, Medical research and the challenge of ageing) under grant agreement no. 680997,

    Funding

    This study was funded by the EU Research and Innovation programme Horizon 2020 (Health, Medical research and the challenge of ageing) under grant agreement no. 680997, Trial register: TRIAL ID NTR5759,

    FundersFunder number
    Horizon Europe680997

      UN SDGs

      This output contributes to the following UN Sustainable Development Goals (SDGs)

      1. SDG 3 - Good Health and Well-being
        SDG 3 Good Health and Well-being

      Keywords

      • Disease prevention
      • Patient education
      • Public health
      • Respiratory tract diseases
      • Translational research

      ASJC Scopus subject areas

      • Pulmonary and Respiratory Medicine
      • Public Health, Environmental and Occupational Health
      • Family Practice

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